Robert L Kistner JR. M.D.

NPI 1063404572 - Specialist - 174400000X

NPI Details
NPI 1063404572
Gender Male
Enumeration Date 08/19/2005
Last Updated 10/22/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
875 N GREENFIELD RD
SUITE 108
GILBERT AZ, 85234-5044, US
Phone (480) 706-6151
Fax (480) 706-8908
Business Location
PO BOX 50970
PHOENIX AZ, 85076-0970, US
Phone (480) 706-6151
Fax (480) 706-8908
Toxanomy
Taxonomy Code 174400000X
License State Arizona
License Number AZ20804
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According to our database, Dr. Robert L Kistner JR. M.D. NPI is 1063404572, taxonomy code is 174400000X and license number is AZ20804, license state is located at Arizona. Robert L Kistner JR. M.D. physically located at 875 N Greenfield Rd, Gilbert AZ, 85234-5044. NPI Number Robert L Kistner JR. M.D. has the Individual type.

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1063404572 NPI number is provided on an as is basis without warranty of any kind. 1063404572 is maintained by the National Plan & Provider Enumeration System. The contents of Robert L Kistner JR. M.D. are for informational purposes only.